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Case Reports
. 2013 Mar 6:2013:bcr2012008359.
doi: 10.1136/bcr-2012-008359.

Non-ketotic hyperglycaemia hemichorea-hemiballismus and acute ischaemic stroke

Diego M Carrion  1 , Andres F Carrion
Affiliations
Case Reports

Non-ketotic hyperglycaemia hemichorea-hemiballismus and acute ischaemic stroke

Diego M Carrion et al. BMJ Case Rep. .

Abstract

Here we describe a patient with a rare movement disorder, hemichorea-hemiballismus, which is described as a complication of non-ketotic hyperglycaemia. This complication may be seen in individuals with poorly controlled long-standing diabetes mellitus. Proper diagnosis is established with CT and MRI of the brain, which typically show classic findings in the basal ganglia. Treatment focuses on improvement of glycaemic control and usually results in rapid resolution of the movement disorder. Nevertheless, recurrent episodes of hemichorea-hemiballismus, and even more ominous complications such as ischaemic stroke may occur.

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Figures

Figure 1
Figure 1
CT demonstrating hyperatenuation of the right putamen and right perisylvian cortex.
Figure 2
Figure 2
T1-weighted MRI showing a subtle hyperintense signal in the right putamen.
Figure 3
Figure 3
CT demonstrating a large ischaemic stroke in the right middle cerebral artery territory.
See this image and copyright information in PMC

References

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